Ley, Lisa T

Ley, Lisa T is an individual health care provider with primary practice located at 3400 W 66Th St Ste 385, Edina MN 55435-2197. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ley, Lisa T can be contacted via phone (952) 920-2761.

Contact Information

Primary practice address
3400 W 66Th St Ste 385 Edina MN 55435-2197
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9570 Minnesota

Profile Details

NPI number 1821094392
LBN Legal business name Ley, Lisa T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jun 15th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821094392 NPPES
Minnesota MEDICAID 135142700
Minnesota Other 010D3KR

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